Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | N006556-1 | NY |
NPI | 1093034290 |
---|---|
Provider Name | Nidhee H Dubal |
First Address | Poughkeepsie, NY 12601-1359 |
Second Address | Poughkeepsie, NY 12601-1359 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2010 |
Last Update Date | 25/04/2013 |